MATTHEW A PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264446

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

PETERSEN

Business Name

MATTHEW A PETERSEN

Original Issue Date

04/12/2019

Effective Date

04/12/2019

Expiration Date

09/30/2020

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/08/2021

Case Number

2019008217

Action

Suspension

Discipline Start Date

08/28/2019

Discipline Reason

More Than 30 Days Delinquent in the Payment of Child Support